Commercial reimbursement rates, finally in the open. The data payers always had is now yours.
Rates for mental health and substance use disorder services, in one place. These market insights can inform providers in rate negotiations, support advocacy, diversify revenue streams, show where new business can improve access to care, and much more.
Select your level of care and your State, and enter rate - the gauge illustrates how your contracted rate compares with other reported rates in your market.
TYPICAL LOW
$533
MEDIAN
$730
TYPICAL HIGH
$833
Real negotiated facility rates from the current data release · mental health and SUD levels of care · commercial insurance carriers · every state and the District of Columbia.
The platform
Starset Rate Compass by Third Horizon turns new payer transparency data into actionable contracting intelligence for mental health and substance use disorder providers.
For the first time, CCBHCs, CMHCs, SUD facilities, and other in-network or out-of-network behavioral health providers can see how commercial payers reimburse peer organizations in their state and across the country. The platform provides specific views of published contracted rates by payer, service line, level of care, geography, and facility type, with benchmarks against comparable providers. Public Benchmarking with Medicare and Medicaid comparisons is coming soon.
Built by Third Horizon’s leading behavioral health payment experts, Starset Rate Compass helps providers gain market insight to support smarter contracting, network strategy, commercial revenue diversification, and expanded access to care.
How it works
Negotiated rates, brought into the open. Organized by the levels of care your programs deliver.
Benchmark
See what each carrier pays
Review reported rates from Blue Cross Blue Shield, United Healthcare/Optum, Cigna/Evernorth, and Aetna/CVS for supported services in your market. See the most common rate, the middle rate, and the highest rate shown in the available data. Availability varies by state, service line, and billing code.
Compare
Compare against public rates
See what other providers in your market are paid for supported services. Public Benchmarking with Medicare and Medicaid comparisons is coming soon.
Reviewed by experts
Data Integrity
Some carriers publish too few rates for a reliable comparison. Where that happens, we show no rate and indicate so accordingly. Third Horizon's behavioral health payment experts review every data release to assess data quality.
Rate Compass in practice
The Payer Strategy/Contracting Director
The situation
A payer strategy director for a community mental health center wants to expand access to care and diversify revenue beyond Medicaid, but lacks insight into which commercial payers pay competitively and what they can expect to be reimbursed for potential new service lines. Without market data, the clinic may end up chasing a payer that underpays or building a service the market won’t support at a viable rate.
How Rate Compass helps
Revenue diversification relies on payer mix and service line offerings. Benchmark what payers actually pay by service line, geography, and facility type, then run the Starset Rate Compass Opportunity Calculator to turn a target rate into a projected revenue number before you commit budget and staff.
A licensed clinical social worker running a small private outpatient SUD practice receives a contract offer from a regional commercial payer. They have never seen what that payer reimburses anyone else for the same CPT codes in their state, so they have no basis to negotiate, only the payer’s word that the offer is reasonable.
How Rate Compass helps
You shouldn’t have to guess whether a contract offer is aligned with market rates. See what payers actually reimburse for your service lines and level of care.
A residential SUD or behavioral health treatment facility administrator is evaluating a payer’s proposed per diem rate for residential level of care, with no external reference point for whether that rate is in line with what comparable residential providers are receiving in the region — residential per diems are rarely benchmarked publicly, unlike outpatient CPT codes.
How Rate Compass helps
Residential per diems vary widely, and there are no public benchmarks to check them against. Starset Rate Compass shows what comparable residential treatment providers are actually paid, by geography and facility type, to know whether a per diem offer is fair before signing.
A multi-state or virtual-first behavioral health group contracts with commercial payers across a dozen-plus states, each with a different payer landscape, and no consistent way to see whether negotiated rates are competitive market by market. Contracting teams end up negotiating state by state with no visibility into which markets are already underpaying relative to peers.
How Rate Compass helps
Multi-state and virtual care operators can’t manage rates with spreadsheets and anecdotes. Starset Rate Compass benchmarks rates state by state as coverage expands, updating the underlying data on a quarterly basis.
Bring market context to your next payer negotiation. One annual Rate Compass fee gives you commercial rate benchmarks and provider lookups for your selected state(s) and service line, plus the Opportunity Calculator to explore revenue scenarios.
Annual
From $750/yr
Billed once a year, per state — from $750 for one state, with lower per-state prices as you add states, up to national coverage. The annual fee includes commercial rate benchmarks, provider lookups, and the Opportunity Calculator. Public Benchmarking with Medicare and Medicaid comparisons, and the payer letter tool, are coming soon. A second service line (mental health or SUD) is +20%. Cancel at any time.
Inpatient · Residential · PHP · IOP — explore available billing codes, rate distributions, carrier comparisons, and negotiated rates by provider type in each state. Routine Outpatient rates are coming soon for mental health and SUD.
Commercial Insurance Networks
Blue Cross Blue Shield, United Healthcare/Optum, Cigna/Evernorth, Aetna/CVS, all organized the way provider contracts flow in behavioral health for the largest national networks. For each carrier: the most common rate, the peak rate, and the upper bound.*
The Payers' Own Data
Insurers are recently required to publish machine-readable files for all providers and codes. Their size and complexity make them inaccessible and opaque. We process them, organize them, and refresh the data as insurers update theirs, materializing the promise of transparency the rule was meant to create.
Built by People Who Have Been at The Table
This isn't a data tool built by outsiders. Third Horizon's mental health and substance use disorder experts have supported hundreds of providers in their strategy and in structuring this conversation with payers.
* Not all published rates are sufficient for statistical analysis, because of limits on how many rates a carrier publishes for a service. Where there are too few, we show no rate for that carrier.
FAQ
Straight answers.
Where does the data come from?
Rates come from the Transparency in Coverage files that insurers must publish. We read, process, and organize those files so that you can compare rates by state, county, provider type, service, and insurance carrier.
How do I know it's accurate?
Third Horizon's behavioral health team reviews the insurers' published files for accuracy and outliers. Where the rates do not align with market rates, or where there are too few for a reliable comparison, we flag as outliers rather than provide unreliable information.
Which states are available?
All 50 states and the District of Columbia are available.
Can I cancel?
Yes, anytime, from your account. Annual subscription access will remain in place to the end of the paid period.
How many people in my organization get access?
Each subscription provides access to up to three members of your team. Additional user access credentials can be added for $100 per subscription.
Is this contracting advice?
No. Starset Rate Compass provides rate benchmarks and market context, not legal, financial, or contracting advice. The platform data can help providers prepare for payer conversations, but each organization should make contracting decisions based on its own strategy, contracts, counsel, and financial position.
Get started
See where your rates stand.
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